牛皮癣眼部合并症:观察性研究的系统回顾和荟萃分析。

IF 4.2 1区 医学 Q1 OPHTHALMOLOGY
Ching-Ya Wang,Tzu-Yi Lin,Tzu- Yu Wang,Ching-Chi Chi
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引用次数: 0

摘要

牛皮癣眼部合并症:观察性研究的系统回顾和荟萃分析设计系统回顾和荟萃分析。随着越来越多的证据,牛皮癣的眼部合并症已经被提出。某些眼病需要及时诊断和适当干预,否则可能发生不可逆转的失明。方法检索PubMed、MEDLINE、Embase、Cochrane中央对照试验注册(Central Register of Controlled Trials, Central)数据库,检索时间为各数据库成立至2025年8月15日。观察性研究提供了牛皮癣患者和非牛皮癣患者之间白内障、葡萄膜炎、干眼病、青光眼、视网膜静脉闭塞、结膜炎、睑板腺功能障碍和眼睑炎等眼病风险估计的数据。采用Newcastle-Ottawa量表评价偏倚风险。采用随机效应模型进行meta分析。我们的主要结局是牛皮癣患者眼部合并症的风险评估。该研究已在开放科学框架(https://osf.io/tkn92)中注册。结果纳入34项研究,涉及10045036名受试者。银屑病患者白内障(风险比(HR) 1.78, 95%可信区间(CI) 1.53-2.07)、葡萄膜炎(HR 1.65, 95% CI 1.35-2.01)的风险增加(队列研究);优势比[OR] 2.56, 95% CI 1.60-4.10(病例对照研究)),干眼病(OR 5.01, 95% CI 2.31-10.86),青光眼(HR 1.40, 95% CI 1.05-1.88),视网膜静脉闭塞(HR 1.58, 95% CI 1.23-2.03),结膜炎(OR 3.76, 95% CI 1.33-10.63),睑板腺功能障碍(OR 4.45, 95% CI 1.19 -10.40),睑板炎(OR 2.28, 95% CI 1.24-4.19)。结论银屑病与白内障、葡萄膜炎、干眼病、青光眼、视网膜静脉阻塞、结膜炎、睑板腺功能障碍和眼睑炎相关。出现眼部症状的牛皮癣患者应寻求眼科咨询,以便及时诊断和适当干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ocular comorbidities of psoriasis: A systematic review and meta-analysis of observational studies.
TOPIC Ocular comorbidities of psoriasis: A systematic review and meta-analysis of observational studies. DESIGN Systematic review and meta-analysis. CLINICAL RELEVANCE Ocular comorbidities of psoriasis have been raised with growing evidence. Certain eye diseases require prompt diagnosis and appropriate interventions, otherwise irreversible blindness may occur. METHODS We searched PubMed, MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL) databases from their respective inception to August 15th, 2025. Observational studies providing data on risk estimates for eye diseases, such as cataract, uveitis, dry eye disease, glaucoma, retinal vein occlusion, conjunctivitis, meibomian gland dysfunction and blepharitis, between patients with psoriasis and without psoriasis were included. Newcastle-Ottawa scale was utilized to evaluate the risk of bias. A random-effects model meta-analysis was conducted. Our primary outcomes were the risk estimates of ocular comorbidities in patients with psoriasis. This study is registered in the Open Science Framework (https://osf.io/tkn92). RESULTS We included 34 studies involving 10,045,036 subjects. Patients with psoriasis showed increased risk of cataract (hazard ratio (HR) 1.78, 95% confidence interval (CI) 1.53-2.07), uveitis (HR 1.65, 95% CI 1.35-2.01 (cohort studies); odds ratio [OR] 2.56, 95% CI 1.60-4.10 (case-control studies)), dry eye disease (OR 5.01, 95% CI 2.31-10.86), glaucoma (HR 1.40, 95% CI 1.05-1.88), retinal vein occlusion (HR 1.58, 95% CI, 1.23-2.03), conjunctivitis (OR 3.76, 95% CI 1.33-10.63), meibomian gland dysfunction (OR 4.45, 95% CI 1.9-10.40), and blepharitis (OR 2.28, 95% CI 1.24-4.19). CONCLUSIONS The current evidence reveals associations of psoriasis with cataract, uveitis, dry eye disease, glaucoma, retinal vein occlusion, conjunctivitis, meibomian gland dysfunction and blepharitis. Ophthalmic consultation should be sought for psoriasis patients presenting ocular symptoms for prompt diagnosis and appropriate intervention.
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来源期刊
CiteScore
9.20
自引率
7.10%
发文量
406
审稿时长
36 days
期刊介绍: The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Published monthly since 1884, the full text of the American Journal of Ophthalmology and supplementary material are also presented online at www.AJO.com and on ScienceDirect. The American Journal of Ophthalmology publishes Full-Length Articles, Perspectives, Editorials, Correspondences, Books Reports and Announcements. Brief Reports and Case Reports are no longer published. We recommend submitting Brief Reports and Case Reports to our companion publication, the American Journal of Ophthalmology Case Reports. Manuscripts are accepted with the understanding that they have not been and will not be published elsewhere substantially in any format, and that there are no ethical problems with the content or data collection. Authors may be requested to produce the data upon which the manuscript is based and to answer expeditiously any questions about the manuscript or its authors.
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